ANESTHESIA INTENSIVE CARE LLC (NPI# 1508387382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508387382 |
Entity Type | Organization |
Organization Name | ANESTHESIA INTENSIVE CARE LLC |
Practice Address |
1227 E Rusholme St Davenport IA 52803-2459 |
Mailing Address |
Po Box 2490 Davenport IA 52809-2490 |
Practice Telephone | 5634211000 |
Enumeration Date | 2017-06-30 |
Last Update Date | 2017-06-30 |
Authorized Official Name | SHIRA BLACK (OWNER) |
Authorized Official Telephone | 5633248160 |
Authorized Official Credential | D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
1227 E RUSHOLME ST |
City | DAVENPORT |
State | IA |
Zip Code | 52803-2459 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083690762 | Ilya B Volfson | Anesthesiology | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2005-12-15 |
1912523432 | Abby Mariah Shumate | Nurse Practitioner | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2020-06-20 |
1477173532 | Julie Anne Daniels | Occupational Therapist | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2020-04-19 |
1083253306 | Charles Grant Dennehey | Physician Assistant | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2020-01-03 |
1942850011 | Alyssa Sue Busch | Nurse Practitioner | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2019-09-19 |
1528616901 | Genesis Health System | Psychologist | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2019-08-29 |
1992260202 | Matthew Adam Steinbeck | Pharmacist | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2019-01-31 |
1609394964 | Chelsea Speer | Physician Assistant | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2017-09-06 |
1417478314 | Michelle Engstrom | Physical Therapist | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2017-06-29 |
1154855104 | Abiy Mulugeta Abebe | Internal Medicine | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2017-04-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679189971 | Amber Rae Rupiper | Physician Assistant | 518 Locus Street, Davenport, IA 52803 | 2020-09-22 |
1558869321 | Devan Louis Depauw | Physician Assistant | 1227 East Rusholme St., Davenport, IA 52803 | 2018-01-26 |
1215383070 | Brittney N Hughes | Nurse Practitioner | 1228 E Rusholme Street, Suite 3020, Davenport, IA 52803 | 2016-05-11 |
1992138747 | Sarah Beth Schlickman | Nurse Practitioner | 1228 E Rusholme St Ste 3020, Davenport, IA 52803 | 2013-08-15 |
1154763845 | Leslie A Poston | Nurse Practitioner | 1228 E. Rushome Street, Mob I, Suite 2100, Davenport, IA 52803 | 2013-07-23 |
1083878896 | Jolene Marie Dague | Dentist | 1905 N. Main St, Davenport, IA 52803 | 2008-07-11 |
1952436370 | Joann C Milani | Psychologist | 1503 Brady Street, Davenport, IL 52803 | 2007-02-23 |
1942343579 | Lisa Clare Ploehn | Pharmacist | 129 West Locust Street, Davenport, IA 52803 | 2007-02-14 |
1366597957 | Cathleen Ann Clark | Social Worker | 1706 N Brady, Suite 204, Davenport, IA 52803 | 2007-01-24 |
1184781940 | William Burke Ltd | Durable Medical Equipment & Medical Supplies | 129 West Locust, Davenport, IA 52803 | 2007-01-02 |
Find all providers in zip 52803 |
Taxonomy Code | 207LC0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
Specialization | Critical Care Medicine |
An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114453248 | Thomas Erickson | Anesthesiology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2017-05-10 |
1215461678 | Erik Campbell | Anesthesiology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2017-04-12 |
1982962783 | Ryan B. Dick-perez | Anesthesiology | 200 Hawkins Dr, Dept of Anesthesia, Iowa City, IA 52242-1009 | 2012-04-30 |
1558555144 | Sudarshan Setty | Anesthesiology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2007-08-28 |
1467654566 | Nicholas M. Mohr | Anesthesiology | 200 Hawkins Dr, Iowa City, IA 52242-1007 | 2007-06-01 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.